CAJ | 학술논문

目的：探讨经皮对侧椎间孔入路全脊柱内镜椎间盘切除术(PELD)治疗游离型腰椎间盘突出症的临床疗效。方法选取2012年5月-2014年5月入该院治疗的游离型腰椎间盘突出症患者63例作为研究对象，所有患者均行对侧椎间孔入路PELD手术治疗，术前，术后1 d及术后3个月分别行腰痛、腿痛视觉模拟评分(VAS)和改良Macnab疗效评分，观察术后患者的恢复情况。结果该组63例患者均顺利完成手术，临床疗效，42例优，15例良，6例可，0例差，优良率为90.48%。术后3个月腰痛VAS评分、腿痛VAS评分分别为(1.98±1.82)分、(2.03±1.20)分，显著低于术前和术后1 d，差异有统计学意义(P<0.05)。结论经皮对侧椎间孔入路PELD治疗游离型腰椎间盘突出症，具有安全可行、疗效显著的特点，是脱出游离型腰椎间盘突出症有效手术方法。
목적：탐토경피대측추간공입로전척주내경추간반절제술(PELD)치료유리형요추간반돌출증적림상료효。방법선취2012년5월-2014년5월입해원치료적유리형요추간반돌출증환자63례작위연구대상，소유환자균행대측추간공입로PELD수술치료，술전，술후1 d급술후3개월분별행요통、퇴통시각모의평분(VAS)화개량Macnab료효평분，관찰술후환자적회복정황。결과해조63례환자균순리완성수술，림상료효，42례우，15례량，6례가，0례차，우량솔위90.48%。술후3개월요통VAS평분、퇴통VAS평분분별위(1.98±1.82)분、(2.03±1.20)분，현저저우술전화술후1 d，차이유통계학의의(P<0.05)。결론경피대측추간공입로PELD치료유리형요추간반돌출증，구유안전가행、료효현저적특점，시탈출유리형요추간반돌출증유효수술방법。
Objective To evaluate the clinical effect of percutaneous full endoscopic lumbar discectomy (PELD) via contralateral transforaminal route in the treatment of sequestered lumbar disc herniation. Methods From May 2012 to May 2014, 63 patients of sequestered lumbar disc herniation were treated in our hospital as the research object, underwent Percutaneous full endoscopic lumbar discectomy for sequestered lumbar disc herniation via contralateral transforaminal spproach, before surgery, after surgery 1d, 3 months respectively for low back pain, leg pain visual analogue scale (VAS) score and modified Macnab effects, observed the recovery of postoperation. Results 63 patients were successfully completed operation, In 63 patients, 42 cases were excellent, 15 cases were good, 6 cases were ok, 0 cases of poor, good rate of 90.48%. 3 months after surgery, VAS score, VAS score of lumbago and leg pain were (1.98±1.82), (2.03±1.20), were significantly lower than that of 1 day before surgery and after surgery, differences were significant (P<0.05). Conclusion PELD treatment via contralateral transforaminal route for sequestered lumbar disc herniation, with advantages of high safety and feasibility and remarkable effect, was a convenient and efficient procedure.